Individual
ESHETU ASSEFA LAKEW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4628 LONDONDERRY CT, INDIANAPOLIS, IN 46221-2929
(317) 685-9026
Mailing address
4628 LONDONDERRY CT, INDIANAPOLIS, IN 46221-2929
(317) 685-9026
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
06/28/2024
Last updated
06/28/2024
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